Referrals

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Download referral forms.

Mildmay Hospital accepts referrals from across the UK.

We have NHS contracts with most of the ICBs* across London.

Please contact the referral hotline and let us assist you with:

Facilitating the funding pathway for your area
Discussing clinical pre-admission assessment
Any other queries about the referral process.

Referral hotline:

020 7613 6347

Email:

admissions.mildmay@nhs.net

*Integrated Care Boards

Click on a form to download it:

HIV Medical Referral Form B

HIV Nursing Referral Form

Step-down Homeless Medical Care Pathway Referral

REBUILD Pathway referral form

Occupational Therapy Referral Form

Social Care Questions for Admission

*Clinical commissioning groups (CCGs) were created following the Health and Social Care Act in 2012 and replaced primary care trusts on 1 April 2013. They were clinically-led statutory NHS bodies responsible for the planning and commissioning of health care services for their local area.

The Health and Care Act 2022 completed the parliamentary process and received Royal Assent on 28 April 2022. This was an important step on the journey towards establishing Integrated Care Systems (ICSs), moving them onto a statutory footing with the establishment of Integrated Care Boards (ICBs) and Integrated Care Partnerships (ICPs). This took place on 1 July 2022.

Each ICS has an Integrated Care Board (ICB), a statutory organisation bringing the NHS together locally to improve population health and establish shared strategic priorities within the NHS. When ICBs were legally established, clinical commissioning groups (CCGs) were abolished.